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Deutsche Asset
& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premium"' Peva Wealth Premium 714 Private Wealth Premium TM
Elite Personal Accounts Elit Business Accounts Banking Services
❑ Checking Acct. de
li Checking Acgt.1 O Consumer Debit Card 0
Ila ti53 1/ 1/0
O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card I/
Acct. Acct. #
APY O Business Debit Card
O Elite Money Market Deposit Elite Money Market Deposit
Acct. Acct. IS 5110 2 7v6 Delp Checkboox Style
APY APY D=Lr t:' Gip tf O14 MAO
O Certificate of Deposit O Certificate of Deposit O Name Only DLii 03 - 3 - 3
Acct Acct. # Cy Name end Address 71-;PI ; tat
APY APY Csiolt.'. &us
Term Term
O Duplicate Statement Heezi sicio as
Addr
O DB AG NY Preferred O DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct Acct. Stele Zip Code
APY APY O Mailing address (4 different)
Term Term Name
Promo term Promo term
Addr
(DBTCA deposit eccaum required. (DBTCA deposit account required,
along w;tn a DB AG Preferred Tenn along with a DB AG Preferred Terms City
and Conditions) end Conditions) State Zip Coda
Private Wealth Premlumw O Cash Mester Sweep Account
Into neat Banking Services Checking Acct. a
DI3Private Wealth Online Plus Elite Money Market Deposit
1o3
Er Link 'to Existing Online Relationship
0 ) 1'C°
(User Co. It) Number)
Acct. #
APY
Target Amount
Trigger Amount
Client Relationship
❑ Individual Account O Custody under NY UTMA O Corporation
O Joint Tenants with Right D Foundation O Limited Liability Company
of Survivorship
O Joint Tenants In Common O Non-Profit Organization O Partnership
O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership
Death/As Trustee for
O Trust ❑ Landlord Master Escrow
O Estate
13-AWM0101
NAOSOD00015602-00010#011
013959 032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001429
EFTA_000 14903
EFTA00165687
mecum72,7
—
and JointlefiCatia Information
NName of Acopuat Tits :mint Applicant
OW name, first name• m initial) or Business (last name. Mat name, middle initial)
Social c.ouneoo
( ; oNuotadzr'XX
l .— 14.5 D
-2. tier 07 Social Security Number or Taxpayer it) Number '
Address
• Dervts .tis. 03 06tn-
City.Stine stud Zip Come
Nome Telephone Number
nese elsphone Business Telephone Number
Daniel Birth • irate isrlfrrm
Nemo el
ell NemeolEmployw
Address Address
Netandlesele
adV. State andLI, Cede • • • City, State and- 2flode •
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism and money laundering ectIvhies. Federal law requires all financial
institutions to obtain, verify, and record information that identifies each person who establishes an account, investment or
other business relationship with a financial institution. This means that we will ask for your name, address, and other
information that will allow us to identify you. We may also ask to see identifying documents such es a certificate of
formation or good standing (legal entities} or a passport Or other photo Identification (individuals).
3rd EU Notice
Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money laundering
and terrorist financing: these rules all for an active involvement of both asset management firms and their clients. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities,
addresses, source of funds and, if necessary, legal representatives. euthcnzed signatories, beneficial owners or control
structures and to collect requisite documentation to substantiate the information. Also. enhanced anti-money laundering
requirements require that should any of the above personal or institutional information change, our clients would he
obliged to immediately notify us of the changeisi and provide us with relevant documentation to verity these changes.
Telephone, Facsimile or Email instructions
By signing below. you agree that from time to time you may give Instructions by telephone. facsimile or email regarding
the above captioned accounts) (defined herein as - Verbal Instructions,. ft is understood that the risk of Verbal
Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful
misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to Indemnify and hold harmless DBTCA fo'
any claims, losses, expenses, costs or attorneys fess resulting from OBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that OBTCA may. but shall not bo required to, seek verification of yew
verbal, facstnile or email instructions by call beck. In case of doubt, DBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any liability. DBTCA Is under no obligation to execute your
Verbal Instructions rn transfer funds or securities to any accounts) without written instructions bearing your original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit and any
additions fo the account shall become the property of moon owner as joint tenants, and DBTCA may release the entire
account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal requests Item
any owner during the Ffetime of all owners. The Bank may he reqdfred by seMoe of legal process to remit funds held in
the joint account to satisfy a judgment entered against, or other valid debt incurred by, any owner of the account. DBTCA
may honor checks, orders of withdrawal requests from the survivor(s) after the death of any owner(s) and may treat the
account as the sole properly of the survivors) after the death Of any owooar(S). Unions DBTCA roceivet writteo notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not be liable to any owner
for continuing to honor checks, nnlers or withdrawal requests fmm any owner After the receipt 0f the notice referred to
In the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2 13-mfortketet
01366903761?
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001430
EFTA_00014904
EFTA00165688
ATM/Debit Service
You agree that the retentior. or use of the ATM/Debit card constitutes acceptance of the terms and r.ond,tioes of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
It you have selected to receive Internet Banking Services, you understand that you will be required to enter into a
separate Internet Bahking Services Agreement with DBTCA before you can access the Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DEITCA's Privacy Notice included in the Application Package.
Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responsibility to fulfill any tax obligations and any ether regulatory reporting duties applicable
to you in any relevant jurisdictions that may arise in connection with assets, income or transactions In your accountIN
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory repotting duties applicable
to it in any relevant jurisdictions that may arise in connection with assets. income or transactions In your account(s) and
you business relationship with DBTCA furthermore. you confirm that the necessary information Ito the best of your
knowledge end capabilities) is made available no loss than annually to the relevant beneficial owner's), senlorisk
benoficiaryjies), partnerls). etc to enable him/her/ them to fulfill any respective tax obligations that may arise for him/her/
them In connection with your business relationship with DBTCA.
Please complete and attach separate W-8 or W-9 documentation as applicable.
Terms and Conditions and Representations
By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached to this
Application and agree to be bound by them. In addition, you agree to notify us immediately of any material change to
the information provided by you on this Application.
You represent and warrant that all of the information provided by you on this Application is accurate.
The Terms and Conditions for Deposit Accounts are subjec to change.
Acceptancto,- ---
You understand that this agp OBTCA
ht Holder's Signature ate
Joni Account Holder's Signature Data
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134W/443101
0'3059 032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001431
EFTA_00014905
EFTA00165689
IN WITNESS WHEREOF. the undersigned, by and through its authorized officer, has caused this instrument to be
executed on the date listed below.
(FOR BUSINESS USERS)
/4 p
Business Name
0 t lotDi hie
9
EIEU
n_ ISM MUST COMPANY AMERICAS
--4.----
BY
Pent N
[FOR ALL OTHER USERS)
Account Nn
alernenide
Signature
MAIMS?
21 0101981.30113
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001432
EFTA_00014906
EFTA00165690
ℹ️ Document Details
SHA-256
5292792ac8bedb321819ea1fbf635ad87a99d3e4d64d8e4aac943ed47e21b16b
Bates Number
EFTA00165687
Dataset
DataSet-9
Type
document
Pages
4
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